Khalife K, Claudon M, Juilliere Y, Bernadac P, Lamy P
Rev Pneumol Clin. 1985;41(6):381-5.
Up until now, adrenal metastases from bronchial cancer have always been an autopsy diagnosis with a frequency as high as 45%. These metastases can now be diagnosed by means of computed tomography of the adrenal glands and most of the recent studies report an incidence of 10 to 15% of adrenal metastases independently of the histological type of bronchial cancer. The authors stress the need to perform this examination in the context of pre-treatment staging and for the follow-up of bronchial cancer. The outcome of these adrenal metastases is still poorly understood, but prospective studies could provide more information concerning their prognostic significance. In cases of operable bronchial carcinoma with an isolated adrenal metastasis, it is important to be able to detect this lesion which may be able to be excised prior to the thoracic surgery.
到目前为止，支气管癌的肾上腺转移一直是尸检诊断，其发生率高达45%。现在可以通过肾上腺计算机断层扫描来诊断这些转移灶，并且大多数最新研究报告称，无论支气管癌的组织学类型如何，肾上腺转移的发生率为10%至15%。作者强调，在治疗前分期以及支气管癌随访过程中都需要进行这项检查。这些肾上腺转移灶的转归仍知之甚少，但前瞻性研究可能会提供更多有关其预后意义的信息。对于可手术切除的支气管癌伴有孤立性肾上腺转移的病例，能够检测到这个可能在胸外科手术前切除的病灶非常重要。
